GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Should it? Is that right, Soo?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JANUARY 23, 2025

The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure ). Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. We’re still working on this issue. Here we go.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

AUGUST 4, 2022

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. Alex: No, I think we did one other super special. One in JAMA Network.

Specialization 104

Specialization Medical Patient-Centered Provider 104

GeriPal

JUNE 20, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. Nice to be on.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MAY 11, 2023

Kristine, do you have a song request for Alex? Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song? Kristine: I was going to do David Bowie Changes for a variety of reasons, but it was sort of somewhat around the topic. Alex: (singing) Eric: That was wonderful.

Physicals 85

Physicals IT Hypertension Education 85

The Medical Futurist

JUNE 21, 2025

Here, we collected the top dermatology apps to aid your digital skin care. There are widely varying figures, ranging from 66% to 90% depending on the source of information.) In the continent-sized country, approximately 11,000 skin care specialists are working, which means less than one dermatologist for 100,000 people.

Healthcare 111

Healthcare Patients Board-Certified Telemedicine 111

GeriPal

JUNE 12, 2025

Alex 00:26 And we’re delighted to welcome Emily Martin, who is a palliative care doc at UCLA. Alex 00:33 And delighted to welcome Evie K a lmar, who’s a geriatrician and palliative care doc at UCSF. Anish 00:24 Thanks so much for having me. Emily, welcome to GeriPal. Emily 00:32 It’s good to be here. Thank you, Alex.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. Building a relationship with your primary care doctor should be a priority.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

The Motivated MD

SEPTEMBER 19, 2024

In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. Before we discuss each individual savings account, let us first highlight exactly what it means to ‘automate’ your savings. So yes, humans make mistakes. Fight this temptation.

Finance 52

Finance Individual Education Healthcare Professional 52

Doctor On Demand

APRIL 28, 2025

Most sore throats heal on their own, but severe cases may require urgent care. Learn more about which symptoms mean you should go to urgent care or the ER, as well as when to use telehealth or see a primary care doctor. Plus , check out some home remedies that could help you feel better quicker.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

FEBRUARY 15, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. Their job was done. This is a first for our GeriPal podcast, right, Alex?

Community 114

Community Transportation IT PCP 114

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And finally, too, as a new researcher and postdoctoral fellow, I’m hoping that the best is yet to come for palliative care, research, and work. Welcome to GeriPal, Lyndsay.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. She is a guest host and she’s a palliative care social worker.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

GeriPal

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. He’s in Boston. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Parag 01:06 Thank you. It’s awesome.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 27, 2024

Brianna is one of UCSF’s palliative care fellows who just completed her psychiatry residency. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Summary Transcript Summary “Anxiety is a lot like a toddler. Alex Gamble, do you have a song?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen?

Family 102

Family Families IT Diagnosis 102

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Family Families 119

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? She did a palliative care fellowship, then she did hematology oncology fellowship at UCSF, and did a T32 research fellowship in aging with us in the division of geriatrics at UCSF. But does the geriatric assessment do anything? Mazie, welcome to GeriPal.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 15, 2023

AlexSmithMD Links: Papers on AI and palliative care and concerns about bias: [link] [link] Comparison of machine learning vs traditional prognostic methods based on regression: [link] Other links on the issue of AI and racial or ethnic bias: Are Robots Racist? I’m sure this is a subject we will return to, given the rapid progress on AI.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. Jace, welcome to the GeriPal Podcast. Noelle Marie 01:19 Cyndi Lauper’s True Colors.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

NOVEMBER 14, 2024

You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. Alex 07:27 Are there professional society recommendations or U.S. Sarah 00:37 Ooh, how about Free Fall in’? Alex 00:41 Free Fall in’? But today I’m not because it is November 6th and I’m feeling subdued.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I got this.

Illness 136

Illness Patient-Centered Screening Clinic 136

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. The healthcare system must provide care in a just way so that those who need care have access to it.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

MAY 18, 2023

We’ve invited two members who helped update the criteria including Todd Semla and Mike Steinman. We discuss a little history of the Beers criteria, including the original Beers Criteria that was published by the late Dr. Mark Beers, and how it has evolved over the last three decades. Alex: We’re having Beers. We’ll learn about that.

Medical 97

Medical IT Patients Clinic 97

GeriPal

JUNE 16, 2022

And in my medical training, becoming a primary care doctor, I realized that older adults, women and men were having a lot of these same symptoms. Very interested in decision making around as we get older, individualizing care, sort of patient centered, values driven, it’s a tough decision to figure out. Chrissy: I do.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

MAY 25, 2023

It does seem that if communities, particularly historically marginalized communities, are interested in ACP, that fact should carry some weight in how resources are allocated to research and health care financing. Group visits are one way of reaching diverse communities to which advance care planning has not traditionally been targeted.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. Alex: Thank you.

Family 112

Family Families Patient-Centered IT 112

GeriPal

OCTOBER 26, 2023

We’re both in my mind, and I’m biased, great team players, the palliative care team, the chaplain is a great, everybody’s super. So I’ve always worked in coronary care units and cardiac step-downs. Eric: And probably, you didn’t have to twist Alex’s arm for a Neil Diamond song. Here we go.

Hospital 132

Hospital Patient-Centered Patients IT 132

GeriPal

MARCH 6, 2025

What makes palliative care for people experiencing homelessness challenging? What is unique about the practice of palliative care for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informed care. What makes it rewarding? Naheed 03:48 Yeah, for sure.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 23, 2022

Today we talk with Mara Schonberg, who has been tackling this issue from a variety of angles: building an index to estimate prognosis for older adults, writing about how to talk with older adults about stopping screening, a randomized trial of her decision aid , and how to talk to older adults about their long term prognosis. AlexSmithMD.

Screening 99

Screening PCP PCP IT 99

GeriPal

MARCH 24, 2022

Completion of advance directives and billing codes for advance care planning as quality metrics. Links to a few couple items mentioned on the podcast: Objectives for Advance Care Planning. Eric: We’ve got a lot talk to about out around advance care planning and serious illness communication. Among other topics. Here we go.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

AUGUST 17, 2023

Summary Transcript Summary It’s been over two years since one of the worst product launches of all time – Aduhelm (aducanumab). Eric: Yeah, he is the host of my favorite dementia podcast. Dementia Matters. If you haven’t checked out that podcast, please do. Dementia Matters. Nate: Thank you guys for having me. Nate, is it you?

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 9, 2022

Eric: We got a ton to talk about with you, Kate, about palliative care research into it. Also the daughter of Tim Quill, well known in palliative care. How did you get interested in palliative care research and the stuff that you’re doing right now? I was always critical care bound since medical school. Transcript.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MAY 26, 2022

The basis of their argument is the ethical notion of “reciprocity” – people who are vaccinated have done something to protect the public health, and we owe them something for taking that action. Eric and I attempt to poke holes in their arguments, resulting in a spirited discussion. Evusheld is the latest case in point. . Alex: Love this.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Today we focus on an intervention , published in JAMA, that gave emergency clinicians basic palliative care knowledge, training, and skills. They got a decision support tool that identified hospice patients or those who might benefit from a goals of care discussion.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77